HomeMy WebLinkAboutBLD28029 SFR - BLD Permit / Conditions - 5/7/1991 Shorelines: PIumbing:t?! /-a 7/ f
Setback: Mechanical
Special Interior:
Conditions: FINALi:�,
Mobile Home:
Smoke Detector
Foot Remarks:
Setback*'z
Foundation
Walls:
Framing
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 28029 No. Floors 1 Sq Ftg 1568
Owner NFL SON. LYL.F Tel 275-2401 Date 5-7-91
Address E 17041 Hwy 106 Be]fair Zip
Contractor Se
Address
Legal Description beards Cove div 8 lot 116 ip
Direction to project site N. Shore Rd to Sand Hill o
on C11flac
P um ing _ x Mechanical Sewer Wo Stove
Fireplace Deck �arage -�tport
Basement Loft Other �
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 9-5/
PERMIT NO. 09
60
OWNER NAM MAILADDRESS CITY&STATE ZIP PHONE
A !?O'11/ Ikkv
DIRECTIONS Or
�(,s
TO JOB SITE /vo/� Q' *//-C/. Atzs&x2 ra
I-e 0 Xa��-6 cv-'- e G 101--63
PARCEL LEGAL NUMBER / ODIC D SCR.
o�c- `!l to T#
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE AA &?in m 2 ZIP PHONE
e-
� � S
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK �ew �✓ _ nn
BEDROOMS_ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
,✓ �/ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
OTAL SQ.FT.1J FIREPLACE Al
lA- DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT P� SHORELINE
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING D ARTMENT.
XOWN /mr DATE ` XB DATE
FOR OFFICE U E ONLY
DEPARTMENT Y AS
PROEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING Gtf�' PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
(y PLUMBING ,Zl�
MECHANICAL ,m0
STATE BUILDING FEE
STATE SURCHARGE I
APPLICATION ACCEPTED BY PL�A�NSJCIH`ECK BY S,7 APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
AAA) BY Gf�� '� CASH CK MO
0
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED ~�/
PERMIT NO. 67<
OWNER NAME MAILADDRESS CITY&STAT ZIP ' PHONE
tea`
DIRECTIONS
TO JOB SITE S P D
)617041
LEGAL
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �� �� � ,P ��- _
USE OF c
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS L�/L— FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS 2' REFRIGERATION COMPRESSOR SYSTEM 6.00
r AUTO.WASHER — AIR HANDLING UNITS 7.50
SINKS �= HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINALS
PF
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL rL TOTAL e�
SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST fffJl 0 fCFROM THE BUILDING DEPAR ENT. WITHOUT FIRS BT ING PP OVAL FROM THE BUILDING pEPAR ENT.
X OWNE DATE �� X B DATE l
FOR OFFICE U E ONLY
APPLICATION ACCEPTED BY TMT—c
K BY 70t�- ILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
�6 a- BU
PA) ` IBY S 7 CASH CK MO
-------------
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